Active NPI
Isaac Gray
- Pastoral Counselor
- Savannah, GA
National Provider Identifier
1750073144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pastoral Counselor
- License
- 05239126
- Practice address
- 222 W 38TH St
Savannah, GA 31401-8802 - Phone
- (931) 320-9781
- NPI assigned
- May 23, 2023
- Last updated
- May 23, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pastoral Counselor | 101YP1600X | 05239126 | GA | Primary |
Addresses
Primary practice location
222 W 38TH St
Savannah, GA 31401-8802
Mailing address
1404 Lagunitas LN
Locust Grove, GA 30248-4329
Phone (912) 509-9437
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05239126 | GA | MD | Pastoral Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684800000000",
"number": "1750073144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1404 LAGUNITAS LN",
"city": "LOCUST GROVE",
"state": "GA",
"postal_code": "302484329",
"telephone_number": "912-509-9437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 W 38TH ST",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314018802",
"telephone_number": "931-320-9781"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "ISAAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-23",
"last_updated": "2023-05-23",
"certification_date": "2023-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": "GA",
"license": "05239126",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.